| NPI | 1487685434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11849) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY19366) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2026-05-14 |